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NPI Code Detail

MEDICARE: MR. THOMAS FINE L.P.C.C.

MEDICARE: MR. THOMAS FINE L.P.C.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE0000382OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417943051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS FINE L.P.C.C.
Provider Business Mailing Address
First Line : 3355 GLENDALE AVE FL 3
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 419-383-5322
Fax Number : 419-383-6235
Provider Business Practice Location Address
First Line : 3125 TRANSVERSE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43614-8008
Country : US
Telephone Number : 419-383-5695
Fax Number : 419-383-3031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/21/2022

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